Individual provider Active NPI

Eric Samuel Stachowiak, LSW, MSW

  • Clinical Social Worker
  • Wexford, PA
National Provider Identifier
1982271912
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
500 Blazier Dr Ste 400
Wexford, PA 15090-9508
Phone
(724) 934-2420
NPI assigned
Jun 8, 2021
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW132909 PA
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

500 Blazier Dr Ste 400
Wexford, PA 15090-9508

Mailing address

500 Blazier Dr Ste 400
Wexford, PA 15090-9508
Phone (412) 330-5857

Other practice location 1

333 N Braddock Ave
Pittsburgh, PA 15208-2512
Phone (412) 864-5004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stachowiakes@upmc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220412001876 PA Practitioner - Clinical Social Worker 8921494311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

4 Allegheny Ctr
FL 8
Pittsburgh, PA 15212-5255
Phone (412) 330-4000

500 Blazier Dr
Wexford, PA 15090-9508

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW132909PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Clinical CurrentSince Jan 24, 2022 Accepting new patients
Allegheny Clinic CurrentSince Jan 24, 2022 Accepting new patients

Locations

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242

500 Blazier Dr
Ste 400
Wexford, PA 15090
Phone (724) 934-2420

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1982271912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BLAZIER DR STE 400",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909508",
            "telephone_number": "412-330-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BLAZIER DR STE 400",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909508",
            "telephone_number": "724-934-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Braddock Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152082512",
            "country_code": "US",
            "telephone_number": "412-864-5004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACHOWIAK",
        "first_name": "ERIC",
        "middle_name": "SAMUEL",
        "credential": "LSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW132909",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stachowiakes@upmc.edu",
            "affiliation": "N",
            "address_1": "333 N Braddock Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152082512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.